05D1066911 CLIA NUMBER - CRAIG M SCLAR MD

Laboratory Demographics

CLIA Number: 05D1066911

Facility Name: CRAIG M SCLAR MD

Facility Address:
7830 CLAIREMONT MESA BLVD # 100
SAN DIEGO, CA
ZIP 92111
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Facility Phone Number: 858 268-1111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730114497

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D1066911
LAB Type	Physician Office
Facility Name	CRAIG M SCLAR MD
Street	7830 CLAIREMONT MESA BLVD # 100
City	SAN DIEGO
State	CA
ZIP	92111
Phone	858 268-1111
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024